Title

Management of symptomatic irreversible pulpitis using irrigation agitation techniques in anterior teeth

Authors

Ramdhas Annapurani¹, Pasupathy Shakunthala², Selvaraj Sharmila², Subramanian Dhanalakshmi²,*, Jayavel Nandhakumar¹ & Manoharan Kaladevi³

Affiliation

¹Independent Restorative Dentist and Endodontist, Chennai, Tamilnadu, India; ²Department of Conservative Dentistry and Endodontics, Tamil Nadu Government Dental College and Hospital, Chennai, Tamilnadu, India; ³Government Nagapattinam Medical College, Tamilnadu, India;

Email

Ramdhas Annapurani - E-mail: annapurani17@gmail.com

Pasupathy Shakunthala - E-mail: shaksmds03@gmail.com

Selvaraj Sharmila - E-mail: mssendo11@gmail.com

Subramanian Dhanalakshmi - E-mail: senthilkumardhanalakshmi@gmail.com

Jayavel Nandhakumar - E-mail: dr.nandhakumarmds@gmail.com

Manoharan Kaladevi - E-mail: drkaladevi@gmail.com

Article Type

Research Article

Date

Received December 1, 2023; Revised December 31, 2023; Accepted December 31, 2023, Published December 31, 2023

Endodontic pain, a common complication after root canal treatment, affects 2.5% to 60% of patients. Therefore, it is of interest to compare apical negative pressure irrigation (EndoVac) with conventional needle irrigation to assess their impact on postoperative pain in permanent anterior teeth with symptomatic irreversible pulpitis. Fifty patients were randomly assigned to either the EndoVac or needle irrigation group. Pre and post-operative pain levels were assessed using a Visual Analog Scale and the amount of Ibuprofen taken was recorded. At 12-, 24-, and 48-hour intervals, the EndoVac group reported significantly less pain than the needle irrigation group. The needle irrigation group also required more Ibuprofen. The apical negative pressure irrigation system (EndoVac) resulted in significantly less postoperative pain and reduced the need for analgesic medication than the conventional needle irrigation protocol.

Keywords

Conventional irrigation, post-operative pain, endovac irrigation, negative apical pressure

Citation

Annapurani et al. Bioinformation 19(12): 1129-1133 (2023)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.